Sacha Bollas PSYD, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SACHA BOLLAS PSYD, INC.

Practice address

1990 S Bundy Dr Ste 320
Los Angeles, CA 90025-5249

Phone

(310) 741-7408

NPI assigned

Mar 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sacha Bollas, PSYDNPI 1225506900

Title

Clinical Psychologist

Phone

(310) 741-7408

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sacha Miran Bollas

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1225506900

  Cognitive & Behavioral

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1801424742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3786 BEETHOVEN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 S BUNDY DR STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255249",
            "telephone_number": "310-741-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHA BOLLAS PSYD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "BOLLAS",
        "authorized_official_first_name": "SACHA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-741-7408",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KIPU",
            "affiliation": "N",
            "address_1": "1990 S Bundy Dr Ste 320",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900255249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Troy Mendez Sacaguing, P.T.
• Amy Gay Sacapano, RD
• Brandy Marie Saccacio, OTR/L MSOT
• Paul Sacco, LCSW
• Raymond Guina Sacdalan
• Allison Sacher, OTR/L
• Azita Sachmechian
• Jayden Sachoute
• Alexandra Sachs, LMFT
• Carolyn Joy Sachs, MD

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.